Ronald Bruce Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lodi, Wisconsin. He graduated from medical school in 1972 and has 53 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
336 Lodi St, Lodi, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 592-2080.
Ronald Bruce Johnson is licensed to practice in Wisconsin (license number 2177-057) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598701906.
Healthcare Provider's Profile
| Full Name | Ronald Bruce Johnson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 53 Years |
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| Location | 336 Lodi St, Lodi, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ronald Bruce Johnson graduated from medical school in 1972
NPI Data:
- NPI Number: 1598701906
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082625033
- Enrollment ID: I20060508000095
Medical Identifiers
Medical identifiers for Ronald Bruce Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598701906 | NPI | - | NPPES |
| 39127800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2177-057 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ronald Bruce Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Midlands Psychological Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285676593
PECOS PAC ID: 6901817956
Enrollment ID: O20060505000509 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ronald Bruce Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ronald Bruce Johnson, PHD
336 Lodi St,
Lodi, WI 53555-1418
Ph: (608) 592-2080 | Ronald Bruce Johnson, PHD
336 Lodi St,
Lodi, WI 53555-1418
Ph: (608) 592-2080 |
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